Fungus and columnaris

White fluffy or cotton-like patches.

White to gray cotton-wool tufts on the skin, fins or mouth, or a pale saddle-shaped patch on the back. Fungus usually grows on an existing wound; columnaris is a fast bacterial infection that can kill within days.

Do this first
Move the fish to a hospital tank if you can; test and change the water in the main tank.
Call a vet when
Call a fish vet the same day if patches spread, appear on the mouth or gills, or more than one fish is affected.
Our drawing of the sign to look for. It cannot confirm a diagnosis.

Likely causes

What to do today

  1. Move the fish to a hospital tank if you can; test and change the water in the main tank.
  2. Remove any dead fish at once.
  3. Columnaris spreads quickly: if patches appear on several fish or around mouths, get advice the same day.

When to call a vet

Call a fish vet the same day if patches spread, appear on the mouth or gills, or more than one fish is affected. A vet who treats fish can examine it and prescribe treatment; your local fish store or aquarium society can often recommend one.

Stop it happening again

Handle fish gently, keep water clean and quarantine new arrivals. How to set up a quarantine tank.

Sources: Merck Veterinary Manual: Management of aquarium fish; Merck Veterinary Manual: Disorders and diseases of fish; UF/IFAS: Ammonia in Aquatic Systems.

Often seen in

Other symptoms